Key result
Endovascular abdominal aortic aneurysm repair in a community hospital achieved 100% freedom from aneurysm-related death and 91% freedom from secondary interventions at 24 months.
Why the study?
Is endovascular abdominal aortic aneurysm repair (EVAR) safe and durable when performed in a community hospital setting?
Observational (n=75)
No
Is endovascular abdominal aortic aneurysm repair (EVAR) safe and durable when performed in a community hospital setting?
EVAR can be safely and durably performed in a community hospital setting in carefully selected patients, achieving outcomes comparable to tertiary care centers.
Supports community EVAR in selected patients; leaves open randomized confirmation versus high-volume centers.
Endovascular abdominal aortic aneurysm repair (EVAR) has become the first-line approach for the treatment of abdominal aortic aneurysms. Outcomes outside of tertiary care settings remain unknown. The purpose of this study is to report the midterm outcomes of EVAR in a community hospital. A retrospective review of 75 elective, consecutive EVARs performed at a single nonacademic community hospital was performed. There were no conversions to open repair during or after endovascular repair. The mean follow-up was 18 months. There were no postoperative ruptures or aneurysm-related deaths. At 24 months, freedom from aneurysm-related death was 100%, freedom from secondary interventions was 91%, and freedom from endoleak was 69%. EVAR in the community setting is a safe and durable procedure, even in a medically high-risk population. Comparable outcomes can be achieved to tertiary care centers, in carefully selected patients with favorable anatomy.
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Madden et al. (2008) conducted an observational in Abdominal aortic aneurysms (n=75). Endovascular abdominal aortic aneurysm repair (EVAR) was evaluated on Freedom from aneurysm-related death at 24 months. Endovascular abdominal aortic aneurysm repair in a community hospital achieved 100% freedom from aneurysm-related death and 91% freedom from secondary interventions at 24 months.
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